Isahani yo gukanda ifata umugozi w'umugore ifite imiterere ya Curved Femoral Shaft Locking

Uburyo bwo kubaga icyuma gifunga umugozi w’umugongo (LC-DCP) gikunze kuba bugizwe n’intambwe zikurikira: Gutegura mbere yo kubagwa: Umuganga w’inzobere mu kubaga azasuzuma amateka y’ubuzima bw’umurwayi, akore isuzuma ry’umubiri, kandi asuzume inyigo z’amashusho (nk’ama-X-ray cyangwa CT scan) kugira ngo asuzume ubwoko bw’imvune, aho iherereye, n’ubukana bwayo. Gutegura mbere yo kubagwa bikubiyemo kumenya ingano n’imiterere bikwiye by’icyuma gifunga LC-DCP no gutegura aho vis ziherereye. Anesthesia: Umurwayi azahabwa anesthesia, ishobora kuba anesthesia rusange cyangwa anesthesia yo mu gace, bitewe n’ibyo umuganga w’inzobere mu kubaga n’umurwayi akunda. Inkoni: Gukata icyuma gikorerwa ku ruhande rw’ikibero kugira ngo umuntu agere ku gice cy’umugongo cy’umugongo cyavunitse. Uburebure n’aho igice giherereye biterwa n’imiterere yihariye y’imvune n’ibyo umuganga w’inzobere mu kubaga akunda. Kugabanya: Impera z’amagufwa yavunitse zishyirwa mu mwanya wazo ukwiye hakoreshejwe ibikoresho byihariye nka clamps cyangwa hook z’amagufwa. Ibi bifasha kugarura imiterere isanzwe no gutuma gukira neza. Gutegura igufwa: Igice cyo hanze cy’igufwa (periosteum) gishobora gukurwaho kugira ngo hagaragare ubuso bw’amagufwa. Hanyuma ubuso bw'igufwa burasukurwa kandi bugategurwa kugira ngo harebwe ko buhura neza n'ikibaho cya LC-DCP. Aho ikibaho gishyirwa: Ikibaho cya LC-DCP cyometseho igiti cy'umugongo gishyirwa ku ruhande rw'ikibaho cya femoral. Ikibaho gikurikiza uburyo busanzwe bwo kugororoka kw'ikibaho cya femoral kandi gihuzwa n'umurongo w'igufwa. Ikibaho gishyirwa ku gikoresho cyihariye kandi kigashyirwa ku igufwa by'agateganyo hakoreshejwe insinga ziyobora cyangwa insinga za Kirschner. Aho ikibaho gishyirwa: Iyo ikibaho gishyizwe neza, insinga zishyirwa mu gikoresho zinyuze mu gikoresho no mu igufwa. Izi nsinga zikunze gushyirwa mu buryo bufunze, butanga ituze kandi bugafasha mu gukira. Umubare n'aho vis ziherereye bishobora gutandukana bitewe n'imiterere yihariye y'imvune n'ibyo umuganga akunda. Ishusho mu gihe cyo kubaga: Imirasire ya X cyangwa fluoroscopy bishobora gukoreshwa mu gihe cyo kubaga kugira ngo byemezwe neza aho imvune iherereye, aho isahani iherereye, n'aho vis ziherereye. Gufunga igikomere: Icyuho gifungwa hakoreshejwe imisumari cyangwa ibipfuko, kandi hagashyirwa agapfuko kadafite inenge ku gikomere. Kwitaho nyuma yo kubaga: Bitewe n'imimerere y'umurwayi n'ibyo umuganga akunda, umurwayi ashobora gukenera gukoresha inkoni cyangwa icyuma gitwara amaguru kugira ngo byorohereze kugenda no gutwara ibiro. Ubuvuzi bw'umubiri bushobora kugirwa inama yo gufasha mu kugarura no kugarura imbaraga no kugenda ku kuguru kwagize ikibazo. Ni ngombwa kumenya ko uburyo bwo kubaga n'intambwe zihariye bishobora gutandukana bitewe n'uburambe bw'umuganga, imimerere y'umurwayi, n'imiterere yihariye y'imvune. Aya makuru atanga incamake rusange y'iyi nzira, ariko kugisha inama umuganga w'inzobere mu kubaga amagufwa ni ngombwa kugira ngo usobanukirwe neza iki gikorwa.